Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIANA KIM, DDS
Active Sole ProprietorDR. DIANA KIM, DDS is a General Dentistry healthcare provider located in MOHEGAN LAKE, New York. NPI 1578295556 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOHEGAN LAKE, NY
Registration Details
- NPI Number
- 1578295556
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2022 (4.1406776165992 yrs)
- Last Updated
- Aug 4, 2023
- License
-
063195 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3130 E MAIN ST STE 200MOHEGAN LAKE, NY, 105471517Browse NY providers · Browse ZIP 10547
- Phone
- 8452846296
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in MOHEGAN LAKE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. SAMUEL ROSS GAMBINO | D.M.D. | 1710051198 |
| DR. GEORGE SEPIASHVILI | DDS | 1588780084 |
| DR. OJAS V SHAH | D.D.S. | 1447530969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.